Jordan, Daniel Robert

Jordan, Daniel Robert is an individual health care provider with primary practice located at 811 Sunset Rd Suite 101, Burlington NJ 08016-3645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jordan, Daniel Robert can be contacted via phone (609) 387-9242.

Contact Information

Primary practice address
811 Sunset Rd Suite 101 Burlington NJ 08016-3645
Phone: (609) 387-9242
Fax: (609) 387-1948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07115000 New Jersey

Profile Details

NPI number 1043307051
LBN Legal business name Jordan, Daniel Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Apr 8th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043307051 NPPES
Other 0807554000 AMERIHEALTH, KEYSTONE, IBC
Other 1124862 AMERIHEALTH, KEYSTONE, IBC
Other 2464681 AMERIHEALTH, KEYSTONE, IBC
MEDICAID 8351902 AMERIHEALTH, KEYSTONE, IBC

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